CONGRESS ABSTRACT

The need to establish an optimized diagnostic-therapeutic path (Del no. 1138 of 3.12.2019) dedicated to patients suffering from severe aortic stenosis and eligible for TAVI lies in guaranteeing equal access to treatment, promoting early diagnosis and reducing the time intervening between a diagnosis and the treatment of the pathology. The introduction of the figure of the VALVE NURSE COODINATOR has made it possible to optimize the patient's path, guaranteeing clinical and economic advantages for the patient himself, healthcare workers and the hospital facility. Responsibilities and area of expertise of the Valve Nurse Coordinator • PATIENT REFFERAL : Promote adequate functional connection between all points of the network for integrated patient management • DIAGNOSTIC WORK UP : Facilitation, activation and coordination of the overall performance, avoiding fragmented, ineffective and uneconomical management. Coordinate the referral process, assessment process and procedure planning • EDUCATION AND INFORMATION FOR THE PATIENT AND FAMILY : Serves as the primary point of contact for patients/families, referring physicians and the multidisciplinary Heart Team • IMPLEMENTATION OF BEST PRACTICES : The Valve Nurse Coordinator has an active role in creating standards of care and supporting the introduction of increasingly less invasive approaches, which improve clinical, nursing and management outcomes in patients undergoing TAVR.The Valve Nurse Coordinator has an active role in creating standards of care and supporting the introduction of increasingly less invasive approaches, nursing and management outcomes in patients undergoing TAVI. The prospective observational registry of the UOC Cardiology of the AORN Moscati enrolled elective patients with severe aortic stenosis undergoing TAVI. Pathway and clinical outcome parameters were assessed before and after implementation of the Valve Coordinator program. A set of BENCHMARK practices have been developed and implemented. The objective was to evaluate the effect of the implementation of the practices on the length of hospital stay, on the occupancy of beds in the intensive care unit and to ensure uncompromising patient safety. In this presentation, the data extraction period for AORN Moscati Avellino is 05/2024 with interpretation of data support by the hospital team Primary Endpoint: Average hospital stay (5.1%) – Critical Care (1.6%) Secondary Endpoint: Pacemaker implant (5.8%) – Vascular complications (7.1%)